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Homestead_Terry (3)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ID.PREPARER: ,° - _. . 1 J. Robert Kinkle Attorney Pre parer of the Sales Disclosure Form Title 219 N. Hart Street Partenheimer, Kinkle&Ricker Address(Number and Street) Company Princeton, IN 47670 E-mail IE.SELLER(S)/GRANTOR(S), _. • .__ : . Anthony Hellums Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1837 W.Burlington Place Address(Number and Street) Address(Number and Street) Princeton, IN 47670 E-mail Telephone Number E-mail Under penalties of perjury,I hereby certify th this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as r•quired b d is prepay d in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". �® i /e.ghature. Signature of Seller Anthony Hellums April 21,2020 Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) E:; '_- N,TEE(S)r .APPLICATION FOR PRQPOMITAX DEDUCTIONS a IOENTIFYALL ITEMS,THAT APPLY,;° . ,, Brian C.Terry Sara Hamilton u - ppears on conveyance document Buyer 2-Name as appears on conveyance document 426 W. Oak Street 426 W. Oak Street Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Princeton, IN 47670 E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION NO CONDI �,,^.; I _t�f— ZI ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead ��6CO '�a;.;t`, GIBBON COUNTY AUDITOR residence? Provide complete address of primary ❑ © 4otar Energy Heating/Cooling System residence,including county: ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ❑ 2.Does the buyer have a homestead in Indiana to be 111 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ ❑ 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information including county: bel w. Plpacp cee instructions for more information. Not available in all counties.) Address(Number and Street) y 1 City,State ZIP Code Gibson � .-12'� ( -A0t _cos ^ Si-Lk--02o Primary property owner contact name mail